As of the July, 2022, release via CMS

COLUMBUS REGIONAL HOSPITAL

CMS id: 150112
2400 EAST 17TH STREET, COLUMBUS IN 47201. County: BARTHOLOMEW
System: --
CBSA: Columbus, IN

The 266-bed, acute-care hospital had $29,104,879 in net service to patients*, with a total profit margin of 15.49494% in fiscal year 2021, the latest year available.
It spent 3.65% of its operating expenses on uncompensated care and reported $16,359,868 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	gov	gov	gov	gov	gov
Acute beds Median	197 118	194 118	140 119.5	210 118	221 119
Total beds Median	232 162	229 162	175 162	251 162	266 163.5
FTEs Median	1,315.00 788.06	1,337.00 793.42	1,339.00 806.03	1,289.00 787.61	1,203.00 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	278,481,772 150,932,746	298,968,231 158,950,878	310,457,161 168,696,998	292,951,057 163,454,693	347,314,297 186,589,412
Operating expenses Median	260,622,624 149,311,209	280,602,450 156,110,414	293,925,098 164,890,568	281,314,374 166,516,854	318,209,418 180,120,888
Net income from service 2 patients (NS2P) ? Median	17,859,148 -964,173	18,365,781 -643,601.5	16,532,063 -116,254	11,636,683 -5,025,862	29,104,879 -1,284,564
NS2P margin ? Median	6.41% -0.62	6.14% -0.29	5.33% 0.18	3.97% -5.07	8.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for COLUMBUS REGIONAL HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	23,572,066 5,089,215	2,428,426 4,572,541	33,071,467 5,268,134	46,386,609 13,092,619	30,458,811 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	550,822 224,999	510,131 199,009	565,550 206,870.5	610,376 194,343	601,686 249,496
⊳ Line 7: Investments ? ⊳ Median	5,936,411 299,524	14,659,326 188,688.5	13,167,348 370,813	11,517,185 309,361.5	2,111,771 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	84,665	102,781	98,558	58,674	47,876
⊳ Line 11: Rebates and refunds of expenses	80,318	2,076	34,641	105,828	114,483
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	950,226	973,602	1,015,547	589,636	626,344
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	41,020	40,997	40,778	34,325	29,531
⊳ Line 18: Revenue from sale of medical records and abstracts	27,136	22,932	12,428	3,149	2,813
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	20,480	20,524	24,553	25,348	32,060
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	100	140	0	0	0
⊳ Line 22: Rental of hospital space	147,596	151,825	157,135	139,711	116,206
⊳ Line 23: Gov appropriations ? ⊳ Median	382,709 1,017,693	486,000 983,261.5	625,000 1,173,286	730,402 1,987,202	236,490 1,597,664
⊳ Sum Line 24	15,346,683	-14,541,908	17,329,929	32,571,975	26,539,551
Total income ? Median	41,431,214 6,586,430	20,794,207 6,767,106	49,603,530 8,419,950	58,023,292 8,094,175	59,563,690 15,162,888
Non-operating expenses Median	1,889,472 146,289.5	1,586,568 164,857	1,295,208 89,880.5	998,922 106,761	1,027,955 31,473.5
Net income Median	39,541,742 6,043,842	19,207,639 5,845,112	48,308,322 7,606,259	57,024,370 7,283,041	58,535,735 14,957,241
Net margin Median	13.09096% 4.62%	6.37288% 4.42%	14.06239% 5.16%	16.80461% 5.2%	15.49494% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for COLUMBUS REGIONAL HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	41,153,288 23,241,334	44,909,738 23,709,545	40,789,841 24,248,380	41,676,745 22,858,541	41,205,347 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	37,143,760 21,577,146	40,948,387 22,041,594	37,148,614 22,722,063	37,215,137 21,570,441	38,540,434 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,009,528 3,535,627	3,961,351 3,746,588	3,641,227 3,782,288	4,461,608 3,865,578	2,664,913 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	29,432,477 11,160,864	31,079,797 11,987,345	32,146,355 12,926,866	27,319,429 11,884,480	28,428,968 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	29,432,477 10,918,923	31,079,797 11,706,976	32,146,355 12,615,917	27,319,429 11,458,116	28,428,968 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	1,071,681 594,888	1,125,392 595,761	959,715 577,894	987,396 542,168	1,058,267 549,667
Outlier Median	1,391,479 582,572	1,447,488 538,116	494,158 212,434	622,010 126,559	665,127 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,055,787 3,662,910	14,471,568 3,730,911	17,693,074 4,081,319	15,295,172 4,643,908	16,359,868 4,389,147
Charity care Median	3,821,136 2,654,636	9,508,529 2,940,659	10,242,408 3,380,215	9,655,772 3,488,738	8,733,235 3,233,405
Uncompensated care (UCC) Median	8,000,470 5,147,790	15,289,256 5,337,617	15,260,026 5,711,082	11,890,573 5,923,418	11,605,025 5,508,107
UCC as a % of operating expenses Median	3.07% 3.24	5.45% 3.12	5.19% 3.21	4.23% 3.3	3.65% 2.86
Total shortfall/UCC Median	19,056,257 9,489,989	29,760,824 9,424,297	32,953,100 10,120,158	27,185,745 11,171,337	27,964,893 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	80,218,479 52,142,039	83,948,590 54,485,252	86,654,304 57,395,589	85,893,888 58,830,919	90,443,917 61,722,907
Salaries as a % of operating expenses Median	31.58 36.68	30.66 36.56	30.58 36.37	30.97 35.93	28.90 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	13,214,928 1,449,244	15,582,257 1,475,986	13,890,118 1,563,078	14,143,669 1,721,954	32,620,671 2,991,828
Contract hours, direct-care Median	257,532.00 22,725	292,730.00 23,018.5	270,160.00 24,503.48	262,131.00 25,026.5	420,467.00 33,786
Contract wages, direct-care Median	51.31 64.67	53.23 64.53	51.41 65.06	53.96 68.97	77.58 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.